H-1B Visa Child and Family Therapist Jobs
H-1B visa jobs for Child and Family Therapists require a qualifying specialty occupation, typically met through a master's degree in clinical social work, counseling, or marriage and family therapy. Sponsoring employers file a certified LCA and I-129 petition before you start. Each worksite requires its own LCA certification.
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Join a team that shares your calling
At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
FTE: 1.0 (40 hrs/wk)
Shift: Day
Schedule: Monday - Friday
- Sign-On Bonus: Potentially up to $5,000 (for qualifying external candidates meeting experience requirements)
- Relocation Bonus: Potentially up to $10,000 (depending on distance of move; available to eligible external candidates meeting experience requirements)
Position Summary
The Mental Health Professional is an exciting clinical opportunity responsible for counseling and case management service. In this role, you will maintain a patient caseload, providing intervention within established treatment guidelines, policies and procedures. The position offers you the ability to actively advocate on behalf of your patients.
Responsibilities:
- You will provide person-centered counseling, advocacy and case management for patients
- You will develop treatment plans which clearly identify the patient’s voice, treatment strategies, and specific outcome measures
- You will meet agency documentation standards and authorization requirements of contracts
- You will strategically tailor effective clinical/case management services to meeting diverse patient needs
- You will contribute to the success of MultiCare expectations and core values, continuously learning, and performing other duties as needed or assigned
Requirements
- Masters degree in a related field
- A Mental Health Professional as defined within HB 1724 one of these higher credentials are held: Counselor Agency Affiliated Licensed, Marriage & Family Therap Assoc (LMFTA), Mental Health Counselor Assoc (LMHCA), SW Associate Advanced License (LSWAA), SW Advanced Lic (LASW), SW Assoc Independent Clinical Lic (LSWAIC)
- Previous experience providing mental health counseling services preferred
- Drivers License/Abstract
About Greater Lakes Mental Health
Greater Lakes Mental Health is part of MultiCare’s Behavioral Health Network, serving more than 10,000 individuals across Pierce County each year. Providing mental health and substance use disorder treatment for adults, children and families with Medicaid coverage, Greater Lakes operates six convenient locations, including a 16-bed inpatient facility for voluntary and involuntary care. With experienced teams and robust training, caregivers help deliver recovery-oriented, trauma-informed care.
Why MultiCare?
Rooted in the local community
Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
Growth and education
Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
Well-being and support
Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
Living our values
Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
Belonging for all
Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $34.80 - $50.10 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.
See all 38+ H-1B Visa Child and Family Therapist Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Child and Family Therapist
Verify your license transfers across states
Licensure for child and family therapists varies by state, and your home-country credentials may not transfer directly. Research reciprocity agreements and supervised hours requirements in your target state before you apply, since USCIS will expect a valid state license at petition time.
Use O*NET to frame your specialty occupation case
Pull the O*NET occupation profile for your role and document which listed tasks require a master's degree in counseling, clinical social work, or MFT. Employers use this evidence to build the specialty occupation argument in the I-129 petition.
Search Migrate Mate for verified H-1B sponsors
Target employers with confirmed LCA filing history in mental health and therapy roles. Migrate Mate lists employers with verified H-1B visa sponsorship records, so you can focus your applications on organizations that have already navigated the filing process for this occupation.
Ask employers about multi-site LCA coverage early
If the role involves home visits, school-based sessions, or multiple clinic locations, each worksite needs its own certified LCA. Raise this in the offer stage so the employer's immigration counsel can account for every location before the petition is filed.
Check prevailing wage tiers with the OFLC Wage Search
Run the OFLC Wage Search for your SOC code, job title, and county before salary negotiations. Employers must pay at least the prevailing wage DOL certifies on the LCA, and underbidding that threshold invalidates the certification.
Plan your timeline around cap selection changes
H-1B cap selection rules have changed recently, and the annual cycle affects when your employer can file. Confirm with your employer that the I-129 petition is submitted within the 90-day pre-employment window, since H-1B status starts on the approved petition's validity date, not your offer date.
H-1B Visa Child and Family Therapist: Frequently Asked Questions
Does a Child and Family Therapist role qualify as an H-1B specialty occupation?
Yes, in most cases. Child and family therapy roles typically require at least a master's degree in clinical social work, marriage and family therapy, or professional counseling, which satisfies the specialty occupation standard. The employer must document that the specific position requires this level of degree-level knowledge, not just that a degree is preferred. USCIS scrutinizes vague job descriptions, so the I-129 petition should tie each core duty to graduate-level clinical training.
Which employers sponsor H-1B visas for therapist roles?
Community mental health centers, federally qualified health centers, hospital systems, school districts, and large nonprofit behavioral health organizations are among the most active H-1B sponsors for therapy positions. Private group practices sometimes sponsor but less frequently, since the administrative burden of LCA filing and I-129 preparation can be a barrier for smaller organizations. Migrate Mate shows employers with verified H-1B LCA filing history so you can target your search efficiently.
Does my clinical license need to be in place before my employer files the H-1B petition?
USCIS expects you to hold the license required to legally perform the job at the time the petition is filed, or the employer must demonstrate that the license can be obtained after entry. Some states allow provisional licenses during a supervised post-graduate period, which can satisfy this requirement if the employer structures the role around supervised hours. Confirm the licensing pathway with the state board before your employer submits the I-129.
Can I work at multiple therapy sites under one H-1B petition?
No. Each worksite where you provide services needs a separately certified LCA filed with DOL before work begins at that location. If your role involves school-based therapy, home visits, or sessions at multiple clinic locations, your employer must file a new or amended LCA for each site. Failing to certify additional worksites is a compliance violation that can affect your status and the employer's ability to sponsor future petitions.
How long can I work as a Child and Family Therapist on H-1B status?
H-1B status is initially granted for up to three years and can be extended to a maximum of six years in standard cases. Extensions beyond six years are available if you have an approved I-140 immigrant petition or a PERM labor certification that has been pending for at least 365 days. Each extension requires a new I-129 petition, and your employer must file a new or amended LCA reflecting current prevailing wages at the time of filing.